Orthop Traumatol Sur
-
Orthop Traumatol Sur · May 2010
Case ReportsTamponade following sternoclavicular dislocation surgical fixation.
The authors report a case of posterior sternoclavicular dislocation surgically reduced and stabilized with tenodesis, according to the Burrows technique completed by temporary wire fixation. The patient presented postoperative pericardiac tamponade appearing progressively from brachiocephalic blood vessels bleeding. Emergency drainage was surgically placed associated with removal of the material, thus curing the patient. This complication, although exceptional, formally contraindicates the use of wire fixation in surgery of the sternoclavicular joint.
-
The present study reviews our experience of acute hematogenous osteomyelitis in 450 children over a period of 20 years from 1985 to 2004 at the Nouméa Territorial Hospital in New Caledonia. The objective was to formulate a new theory of the pathogenesis of this affection and to report our research on the disparity in the pathology between temperate countries and our own tropical Pacific area. ⋯ Level IV. Retrospective case series.
-
Dislocation of the elbow joint combined with fractures of the radial head and ulnar coronoid process is referred to as Terrible Triad Injury (TTI). The purpose of this study is to report our experience in the management of this specific injury and to validate the therapeutic choices of our treatment. ⋯ Level IV: Retrospective study.
-
Orthop Traumatol Sur · Apr 2010
Case ReportsDistally-based vastus lateralis muscle flap: a salvage alternative to address complex soft tissue defects around the knee.
Repeated soft tissue injuries around the knee represent challenging clinical situations where functional prognosis of the joint is often poor, especially in the presence of total knee arthroplasty (TKA). When gastrocnemius muscle flap techniques have already been used and failed, therapeutic solutions become rare. The authors suggest a regional solution to salvage these cases by the transfer of distally-based vastus lateralis muscle flaps. ⋯ Final joint mobility was always poor (45 grades on average). Distally-based vastus lateralis muscle flaps represent a salvage procedure to correct iterative soft tissue defects around the knee that threaten short-term joint function. These muscle flaps do not require microsurgical anastomosis.
-
Orthop Traumatol Sur · Apr 2010
Uninfected nonunion of the humeral diaphyses: review of 21 patients treated with shingling, compression plate, and autologous bone graft.
Controversy continues around selecting the best strategy for managing nonunions of the humeral diaphysis. The objective of this retrospective study was to analyse the results of management of this complication using a uniform surgical technique. ⋯ Of the surgical techniques for managing nonunion of the humerus, plate osteosynthesis is the most widely used. This simultaneously allows anatomic reduction, fracture compression, and osteogenesis stimulation. However, it can lead to infectious complications(although absent in our series) and neurological complications (10% transitory paresis in our patients).We report 95% rapid union in our series. Other techniques such as intramedullary nailing and external fixation do not provide equivalent results, and this is in agreement with the data found in the literature. We therefore recommend using compression plate fixation associated with autologous bone graft for the treatment of established nonunion of the humeral shaft.